Empowering residents in disadvantaged communities

to become (more) activePhil Veasey, C3 Collaborating for Health

8 October 2015

Recognise me?• Boy aged 7• Lives in an urban area of higher deprivation• Family access limited to local amenities with poor access to fresh food • Poor diet, with high intake of fizzy drinks, snacks and convenience food• Likes to play ‘Super Mario’ on the computer after school• Local area has low access to green space and the park is poorly lit at night • Sport and leisure facilities are the other side of town and are expensive•Parents have a poor understanding of nutrition and healthy food options• Struggles with concentration at school

Outlook: high risk of obesity, increased risk of type 2 diabetes, low educational attainment, service use and co-morbidities later in life.

Reverse causality/ resilience/ salutogenic approaches

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https://vimeo.com/117131970

Desolate play spaces

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‘Desolate play facilities’

•

A disused car park

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For the attention of Roy Hogsdon and Sir Chris Hoy

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Excellent policy and rhetoric!

Healthy London aims to deliver

14,000healthymeals

Regular fitness programs and

health workshops for

3,000children and their families

Safe playspaces for2,500children

Access to health education and a

community health advisor

for3,000

children and their families

2,000hours

volunteeredby Morgan

Stanleyemployees

BMX in Southwark

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• Risk factors are identified for NCDs: physical inactivity, unhealthy eating and drinking, tobacco use

• A starting point is defined in the community (e.g. ahealth centre) and surveyed using CHESS methodology.

• All locations for physical activity, food shops and places where alcohol can be purchased are assessed and mapped

The CHESS tool

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Boys group in Wandsworth

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Families in Westminster

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Westminster insight session

•

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Wandsworth teenagers insight session

Focus group in Southwark

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Filming on the Isle of Dogs

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A community blue print for change

1.Community empowerment is key!

2. A very local physical activity and sports offer for young people

Weekly roaming distance for middle class sporty male

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Golf

WalkGolf

Pilates

Tennis

Gym

Swim

Run

5 miles

Average steps per day June 2015 =18,000

Weekly roaming distance for young person aged 12-14 in a disadvantaged community

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School sport opportunities

Soccer kick around x 2

Youth club x2

500 m

Weekly roaming distance young Bangladeshi mother (child 0-5) in a disadvantaged community

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Outdoor local play x 4

Visit

to fr

iend

x 1

(indo

or p

lay)

GP visit x2

Mile End Children’s Centre x 1

Fam

ily v

isit

x 1

500 m

Toy House visit x 1

Typical travel patterns to engage in physical activity

3. Mobilise the asset

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Community walks

Community games

Workplace wellness

Coaching in the cage

Parcour training

Youth clubs

Training community activators

A new model for sports centres

Sports centre

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The Copper Box experience

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And finally … communication is the key!

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